than assisted living facilities. The challenge is that, apart from the occasional 15-minute doctor’s appointment, assisting someone who may not be able to accomplish all daily living activities on their own usually falls to families to figure out. This whole new job can often be stressful, costly, and emotionally overwhelming.
But that wasn’t without trial and error. Even with access to all his online accounts, I often find myself fumbling between his and my own many online accounts and occasionally missing critical things. In one example from the beginning, I missed several of my dad’s credit card payments, which tanked his credit score.
For many people, setting up a complex arrangement of technology and paid health aides can be extremely daunting or even inaccessible. Getting to this point took a lot of time and energy and investment. Participating in online communities can take the time caregivers desperately don’t have. Paid help is often a privilege. This is why accessible technology, expert recommendations, and community resources are the crucial missing pieces in family caregiving. The struggle is real.
Source: Tech Daily Report (techdailyreport.net)
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Investigating the risk of metabolic and cardiovascular comorbidities among patients with parathyroid cancer: a nationwide representative cohort study in Taiwan - BMC MedicineBackground This study aimed to determine whether primary parathyroid cancer patients were associated with increased metabolic and cardiovascular comorbidities in comparison to the general population. Methods We used the National Taiwan Cancer Registry Database to construct a cohort of patients with parathyroid cancer from January 1, 2004, to December 31, 2019. We compared the incidence of hypertension, diabetes mellitus, hyperlipidemia, atrial fibrillation, coronary heart disease, and heart failure with the general population matched based on a propensity score in a one-to-five fashion. Results A total of 72 parathyroid cancer patients and 360 matched general population (mean age: 55 years; 59% women) were included, with different exclusive numbers for each metabolic and cardiovascular comorbidity cohort. The number of cases based on a total of 2347.7 person-years of observation included 53 deaths, 29 hypertension, 9 diabetes, 13 hyperlipidemia, 10 atrial fibrillation, 18 coronary artery disease, and 13 heart failure. According to multivariate analysis, parathyroid cancer remained significantly associated with diabetes [hazard ratio (HR): 9.28; 95% confidence interval (CI): 1.72–50.07], hyperlipidemia (HR: 5.86; 95% CI: 1.61–21.31), and heart failure (HR: 4.46; 95% CI: 1.18–16.84). Sub-distribution of competing mortality events and subgroup analysis showed robust evidence of metabolic and cardiovascular comorbidities. This national cohort study demonstrated that adult parathyroid cancer patients had a significantly higher incidence of diabetes mellitus, hyperlipidemia, and heart failure than the general population. Conclusions An increased risk of metabolic and cardiac comorbidities among parathyroid cancer patients required great caution.
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Correlates of support for international vaccine solidarity during the COVID-19 pandemic: Cross-sectional survey evidence from GermanyDuring the COVID-19 pandemic, many residents of high-income countries (HICs) were eligible for COVID-19 vaccine boosters, while many residents of lower-income countries (LICs) had not yet received a first dose. HICs made some efforts to contribute to COVID-19 vaccination efforts in LICs, but these efforts were limited in scale. A new literature discusses the normative importance of an international redistribution of vaccines. Our analysis contributes an empirical perspective on the willingness of citizens in a HIC to contribute to such efforts (which we term international vaccine solidarity). We analyse the levels and predictors of international vaccine solidarity. We surveyed a representative sample of German adults (n=2019) who participated in a two-wave YouGov online survey (w1: Sep 13–21, 2021 and w2: Oct 4–13, 2021). International vaccine solidarity is measured by asking respondents preferences for sharing vaccine supplies internationally versus using that supply as boosters for the domestic population. We examine a set of pre-registered hypotheses. Almost half of the respondents in our sample (48%) prioritize giving doses to citizens in less developed countries. A third of respondents (33%) prefer to use available doses as boosters domestically, and a fifth of respondents (19%) did not report a preference. In line with our hypotheses, respondents higher in cosmopolitanism and empathy, and those who support domestic redistribution exhibit more support for international dose-sharing. Older respondents (who might be more at risk) do not consistently show less support for vaccine solidarity. These results help us to get a better understanding of the way citizens’ form preferences about a mechanism that redistributes medical supplies internationally during a global crisis.
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